| Centro Medico, Inc. | |
|
11946 Hawthorne Blvd. Hawthorne CA 90250-3016 | |
| (310) 675-1136 | |
| (310) 970-1447 |
| Full Name | Centro Medico, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11946 Hawthorne Blvd., Hawthorne, California |
| Authorized Official Name and Position | Nabil Nazir Soliman (OWNER) |
| Authorized Official Contact | 3106751136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico, Inc. 11946 Hawthorne Blvd. Hawthorne CA 90250-3016 Ph: (310) 675-1136 | Centro Medico, Inc. 11946 Hawthorne Blvd. Hawthorne CA 90250-3016 Ph: (310) 675-1136 |
| NPI Number | 1497776322 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 2163617846 |
|---|---|
| Medicare Enrollment ID | O20101108000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497776322 | NPI | - | NPPES |
| GR0057390 | Medicaid | CA | |
| ZZZ39006Z | Other | CA | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janet F Soliman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548295066 PECOS PAC ID: 6507051281 Enrollment ID: I20101108000544 |
| Provider Name | Nabil N Soliman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831114289 PECOS PAC ID: 6901091685 Enrollment ID: I20101108000625 |
| Provider Name | Christine Nabil Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821404450 PECOS PAC ID: 5991077927 Enrollment ID: I20170824003698 |
Keith Ebilane, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13429 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Behavioral Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12954 Hawthorne Blvd Ste 100, Hawthorne, CA 90250 Phone: 310-978-6900 Fax: 310-218-5484 | |
Ace Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Ananias E. Ebilane, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13429 S Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-8683 Fax: 310-644-0132 | |
Lieu S. Nguyen, M.d., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15032 Prairie Ave, Hawthorne, CA 90250 Phone: 310-675-7343 Fax: 310-675-1951 | |
Mehmet C Demirozu M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, Suite 303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629 | |
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